Complimentary from the publisher

Complimentary from the publishers of Accountable Care News October 2020

"By some accounts, new medical technology now drives at least 40% of the annual increase in healthcare costs. Administrative activities can’t possibly alter these huge forces of cost escalation. They can help reduce some costs, but the record of ACOs shows that aggregate savings are marginal. That’s the reason behind Medicare’s program to move ACOs into downside risk, and even promote direct contracting with global capitated payments."
- Theresa Hush, Founder & CEO, Roji Health Intelligence LLC.

LexisNexis Risk Solutions reports results of a survey in which 46% of respondents identified “the lack of a single department or role responsible for provider data governance” as the major challenge facing their organizations. Lack of resources to support proper data governance was the second-biggest challenge organizations face, cited by 44% of respondents.

Source: Accountable Care News, Volume 11 Number 10, October 2020, Surveys & Trends: "63% Favor Data Ownership, Just 18% Boast ‘Dedicated Data Governance Department’."

	Top 8 Accountable Care Organizations by Shared Savings in 2019 1. Palm Beach Accountable Care Organization - $48.6 Million 2. Millennium Accountable Care Organization, LLC - $41.9 Million 3. Baylor Scott & White Quality Alliance - $34.3 Million 4. Federation ACO, LLC - $33.5 Million 5. Central Oregon ACO - $32.9 Million 6. Mercy Health ACO, LLC - $24.2 Million 7. Silver State ACO LLC - $23.4 Million 8. Advocate Physician Partners Accountable Care, Inc. - $22.7 Million. Source: RevCycle Intelligence, October 1, 2020
	check out more lists on healthsprocket. "What's on your list?"

How cutting off subsidy payments to insurance companies would affect Obamacare

Brault - The Impact of 2021 MIPS Changes for ACOs and Provider Groups

In 2021, ACOs and Provider Groups will face new rules and challenges in reporting MIPS quality measures. This webinar dives into the implications of these upcoming changes and offer insights for optimizing your MIPS program long-term.

Check out HealthshareTV, the home for health care videos

A Supreme Court decision to strike down the ACA would create chaos
USC-Brookings Schaeffer Initiative for Health Policy, October 13, 2020

Health leaders question how, not if, value-based care should be implemented
Healthcare Finance, October 13, 2020

Leveraging accountable care to sustain primary care practices through COVID-19
MGMA, October 8, 2020

How Accountable Care Organizations Can Survive the Next Healthcare Crisis
Medical Economics, October 8, 2020

How Top Accountable Care Organizations Save Year After Year
RevCycle Intelligence, September 25, 2020

AMA and others ask CMS not to finalize proposed ACO quality changes
Healthcare Finance, September 25, 2020

Accountable Care Hospitals and Preventable ED Visits for Rural Dementia Patients
Journal of the American Geriatrics Society, abstract only, October 7, 2020

Association of a Specialty Pharmacy With Expenditures Among Members of an ACO
JAMA Network Open, October 6, 2020

Translating Evidence into Practice: ACOs’ Care Plans for Complex Health Needs
Journal of General Internal Medicine, abstract only, October 1, 2020

CMS's Monitoring That Medicare ACOs Report Complete & Accurate Data on Quality
Office of Inspector General, U.S. Department of HHS, September 22, 2020

ACO Performance Reports: Tufts Boasts Perfect 5 Stars From CMS
Washington DC Watch: Associations Agree on Fee Schedule Revisions: 'Slow Way Down'
Surveys & Trends: 63% Favor Data Ownership, Just 18% Boast 'Dedicated Data Governance Department'
Social Determinants of Health: Data Analysis Ties SDOH to ED Use, Higher Spending, Poorer Health
Thought Leaders' Corner: "ACOs in shared savings plans often focus cost reduction on administrative activities. But how will ACOs achieve the deeper changes required to reduce costs under capitation?"
Industry News with briefs regarding Highmark and Quest Analytics


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